阴茎血管钙化防御的诊断与治疗挑战：一例病例报告
Penile calciphylaxis diagnosis and treatment challenges a case report.
作者信息
Bani-Hani Morad, Nawafleh Sager, Al-Zubi Mohammad, Alkhatatbeh Hassan, Altal Y, Sarhan Mohammed Yahia, Daradkeh Salah Tewfik, Alriyalat Sulieman, Tahaineh Sakher
机构信息
Department of Urology, Faculty of Medicine, Hashemite University, Zarqa, Jordan.
Department of Anesthesia, Faculty of Medicine, Hashemite University, Zarqa, Jordan.
出版信息
Int J Surg Case Rep. 2020;77:187-190. doi: 10.1016/j.ijscr.2020.10.097. Epub 2020 Nov 4.
INTRODUCTION
Painful tip penile ischemic lesion that varies from ulceration to dry gangrene which is calcified in a patient with ESRD on chronic dialysis is a seriously complicated disease due to microvascular disease of subcutaneous and adipose tissue.
CASE PRESENTATION
72 gentleman who is on chronic dialysis for the last 8 years because of ESRD, In which he developed many vascular disease and amputation done for him presented with spreading black painful areas at the tip of the glans for which conservative treatment took place for about month.
DISCUSSION
The diagnosis and management of this rare disease still unclear. Diagnosis mostly clinical, treatment conservative versus surgical.
CONCLUSION
Controversies of for penile Calciphylaxis diagnosis and treatment for its rarity, high mortality rate, and as its part of systematic disease treatment till know individualized according to patient status and extent of the necrotic area.
引言
在慢性透析的终末期肾病（ESRD）患者中，阴茎缺血性病变处疼痛，表现从溃疡到干性坏疽并伴有钙化，这是一种因皮下和脂肪组织微血管疾病导致的严重复杂疾病。
病例介绍
一名72岁男性，因ESRD接受了8年的慢性透析，期间出现了多种血管疾病并接受了截肢手术，现龟头尖端出现黑色疼痛区域并逐渐扩大，为此进行了约一个月的保守治疗。
讨论
这种罕见疾病的诊断和管理仍不明确。诊断主要依靠临床，治疗方式存在保守治疗与手术治疗的选择。
结论
阴茎钙化防御的诊断和治疗存在争议，因其罕见、死亡率高，且作为系统性疾病治疗的一部分，目前仍需根据患者状况和坏死区域范围进行个体化治疗。
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